Procedure
Arthritic Joint Reconstruction
Surgery for arthritic joints of the hand and wrist, ranging from joint fusion to replacement or reconstruction, with the aim of reducing pain while preserving as much function as possible.
Procedure facts
- Duration
- 1–2 hours
- Anaesthesia
- Regional or general
- Hospital stay
- Day case or one night
- Pre-admission tests
- Blood tests and electrocardiogram (ECG)
- Downtime
- 4–6 weeks
- Driving
- 4–6 weeks
- Exercise
- 3 months
- Final result
- 3–6 months
Overview
Arthritis causes the joint to deteriorate, with pain, stiffness and a reduced range of motion.
Depending on severity, the surgical options range from joint fusion to joint replacement or reconstruction. Each aims to reduce discomfort while keeping as much functional capability as the joint allows.
Risks and considerations
Reconstruction of an arthritic joint in the hand or wrist carries the general risks of surgery — infection, delayed healing and a reaction to the anaesthetic — alongside those specific to the joint. Stiffness is the most common issue, and hand therapy is usually part of recovery. Pain relief is the aim rather than a guarantee, and some ache can remain. Where a joint is replaced the implant can in time loosen or wear and may eventually need revision; where a joint is fused, movement at that joint is deliberately given up in exchange for a stable, pain-free position. Injury to nearby nerves or tendons, and recurrence of deformity, are less common. Which reconstruction suits a particular joint, and its trade-offs, is discussed at the consultation.
How we quote
A quotation follows consultation, because what it costs depends on what the operation actually involves for you — the technique, the time in theatre, and whether anything is being addressed at the same time. We do not publish price lists and we do not quote before examining you.
Arranging a consultation
Book a slot in the clinic diary directly, or send the details of what you are considering and we will reply with the times we have.